CMS Price Transparency Data

Inguinal hernia repair

Facility: Satanta District Hospital, Clinics, & Ltcu

Billing Code: 49505 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 49505
  • Insurance Median: $952
  • Cash Discount Price: $2,578
  • vs. Medicare Baseline: 0.26x Medicare
The contracted insurance negotiated median rate for a Inguinal hernia repair at Satanta District Hospital, Clinics, & Ltcu is $952. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,578. Compared to the federal Medicare reimbursement reference rate of $3,657.95, this hospital’s rate is 0.26x the Medicare baseline. Located in 401 Cheyenne, Satanta, KS.
Cash / Self-Pay
$2,578

Average discount available for prompt cash payment at this facility.

Insurance Median
$952

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$3,657.95

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $3,657.95 (100%)
Cash / Self-Pay: $2,578 (70%)
Insurance Median: $952 (26%)
Cash: $2,578 (70% of Medicare)
Ins. Median: $952 (26% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $3,657.95 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Direct Benefit-All Plans $167 - $1,208 5%
UnitedHealthcare $202 - $5,032 6%
Berkley Net-All Plans $279 - $2,013 8%
Trustmark Health Benefits-All Plans $307 - $2,214 8%
Aetna $307 - $3,422 8%
Meritain Health-All Plans $314 - $2,264 9%
Ambetter / Centene $335 - $2,415 9%
Axa Equitable - All Plans $383 - $2,768 10%
Pinnacol-All Plans $390 - $2,818 11%
Medi-Share-All Plans $397 - $2,868 11%
Presbyterian-All Plans $425 - $3,070 12%
Kasb Work Comp - All Plans $446 - $3,220 12%
The Kempton Group Admin-All Plans $481 - $3,472 13%
Gpha(Wppa)-All Other Plans $488 - $3,522 13%
Auxiant - All Plans $488 - $3,522 13%
Wppa- All Plans $495 - $3,573 14%
Providers Care Network- All Plans $502 - $3,623 14%
Emc-All Plans $502 - $3,623 14%
Sisco-All Plans $502 - $3,623 14%
Gpha Employee Benefit Plan $509 - $3,673 14%
Regional Care(Wppa)-All Plans $523 - $3,774 14%
Employee Benefit-All Plans $523 - $3,774 14%
Triangle-All Plans $530 - $3,824 14%
First Health -All Plans $530 - $3,824 14%
One Call Physician-All Plans $537 - $3,875 15%
Blue Cross Blue Shield $551 - $3,975 15%
Tricare $558 - $4,026 15%
Christian Hospital Aid - All Plans $558 - $4,026 15%
Humana $599 - $4,328 16%
Cigna $613 - $4,428 17%
Luminare Health- All Plans $613 - $4,428 17%
Deseret Mutual(Uhis)-All Plans $627 - $4,529 17%
Coresource-All Plans $627 - $4,529 17%
Vaccn-All Plans $641 - $4,629 18%
Hma Llc-All Plans $662 - $4,780 18%
Reserve National-All Plans $662 - $4,780 18%
Wps Vapc-All Plans $662 - $4,780 18%
Medicaid / KanCare $697 - $5,032 19%

Consumer Guidance & Cost Commentary

If you are paying cash for an inguinal hernia repair at Satanta District Hospital, Clinics, & Ltcu, your best option is likely the cash rate of $2,578, which is significantly lower than the facility's gross charge of $2,865. For patients with high-deductible plans where insurance has not yet met their deductible, paying this cash price can be more cost-effective than using insurance, as the median negotiated rate for in-network payers is $952 but often exceeds the cash amount until the patient's deductible is fully satisfied. It is important to verify with the hospital beforehand whether a "self-pay" or "prompt-pay" discount is available, as these upfront payment incentives can further reduce the final bill by bypassing administrative costs and collection fees.

The pricing context for this service shows that the cash rate is well below the facility's gross charge, while the median negotiated rate of $952 represents the contractually agreed-upon ceiling for in-network commercial insurance, which includes administrative overhead and claim processing costs. While the data does not provide specific averages for Kansas state or county comparisons, the facility's ownership as a Government - Hospital District or Authority and its classification as a Critical Access Hospital may influence how these rates are structured relative to regional benchmarks. Patients should be aware that commercial payers like UnitedHealthcare and Humana have negotiated rates ranging from $202 to $4,813, meaning that if your plan's allowed amount is lower than the cash price, paying out-of-pocket could result in substantial savings compared to standard insurance billing.

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 401 Cheyenne, Satanta, KS 67870
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals